Provider Demographics
NPI:1649040908
Name:HAMZI, KATE (NP)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:HAMZI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:ELIZABETH
Other - Last Name:NICHOLAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:3360 ELIMA ST APT C
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1010
Mailing Address - Country:US
Mailing Address - Phone:303-419-9215
Mailing Address - Fax:
Practice Address - Street 1:8125 N 41ST ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-7038
Practice Address - Country:US
Practice Address - Phone:303-419-9215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0999415363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health